Provider Demographics
NPI:1548716897
Name:SKOIEN, JAMES (DR HC, LAC)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:
Last Name:SKOIEN
Suffix:
Gender:M
Credentials:DR HC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3705
Mailing Address - Street 2:42718 MOONRIDGE ROAD
Mailing Address - City:BIG BEAR LAKE
Mailing Address - State:CA
Mailing Address - Zip Code:92315-3705
Mailing Address - Country:US
Mailing Address - Phone:909-213-7301
Mailing Address - Fax:
Practice Address - Street 1:42718 MOONRIDGE ROAD
Practice Address - Street 2:
Practice Address - City:BIG BEAR LAKE
Practice Address - State:CA
Practice Address - Zip Code:92315-3705
Practice Address - Country:US
Practice Address - Phone:909-213-7301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-28
Last Update Date:2016-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC16706171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist